Baron Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

2010016293 Issued in MO

Legal business name

BARON DENTAL LLC

Practice address

1170 W Kansas St
Suite R-2
Liberty, MO 64068-2036

Phone

(816) 716-1000

NPI assigned

Sep 30, 2014

Last updated

Sep 30, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Baron Grutter, DDS

Title

Owner

Phone

(816) 716-1000

Specialties & licenses 1

Addresses

Other names 1

• King Dental Care Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1922401397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 W KANSAS ST",
            "address_2": "SUITE R-2",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682036",
            "telephone_number": "816-716-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 W KANSAS ST",
            "address_2": "SUITE R-2",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682036",
            "telephone_number": "816-716-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARON DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "GRUTTER",
        "authorized_official_first_name": "BARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-716-1000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2010016293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Malek F Barakat, PHARM D
• Linda R. Barbour, M.D.
• John Judson Barclay Jr., D.O.
• Celeste Barker, DNP
• Theresa Carol Barlow, PTA
• Ashley E Barr, DNP, APRN, PMHNP-BC
• Theron B Barr, DO
• Ryan C. Bartholomew, CRNA
• Bayley Bartow
• Aubrey Bass

• Dentist in Liberty, MO
• Providers in Liberty, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.